-r c |y;9 MAR 2002
10^069215
PATENT
ATTORNEY DOCKET NO> 06275/_2A4lISI
COMBINED DECLARATION AND POWER OF ATTORNEY
As a below named inventor, I hereby declare that:
My residence, post office address and citizenship are as stated below next to my name,
I believe I am the original, first and sole inventor (if only one name is listed below) or an original, first and
joint inventor (if plural names are listed below) of the subject matter which is claimed and for which a patent is
sought on the invention entitled SUBSTITUTED PIPERIDINE COMPOUNDS USEFUL AS MODULATORS OF
CHEMOKINE RECEPTOR ACTIVITY, the specification of which
PI is attached hereto.
fl was filed on as Application Serial No.
and was amended on „
x was described and claimed in PCT International Application No. PCT/GBOO/03179
filed on 18 August 2000 and as amended under PCT Article 19 on (if applicable).
I hereby state that I have reviewed and understand the contents of the above-identified specification,
including the claims, as amended by any amendment referred to above.
I acknowledge the duty to disclose all information I know to be material to patentability in accordance with
Title 37, Code of Federal Regulations, §1.56.
I hereby claim foreign priority benefits under Title 35, United States Code, §1 19 of any foreign
application (s) for patent or inventor's certificate or of any PCT international application(s) designating at least one
country other than the United States of America listed below and have also identified below any foreign application
for patent or inventor's certificate or any PCT international application(s) designating at least one country other than
the United States of America filed by me on the same subject matter having a filing date before that of the
application(s) of which priority is claimed:
COUNTRY APPLICATION NO. FILING DATE PRIORITY CLAIMED
SE 9902987-8 24 August 1999 x Yes □ No
I hereby claim the benefit under Title 35, United States Code, §120 of any United States application(s)
listed below and, insofar as the subject matter of each of the claims of this application is not disclosed in the prior
United States application in the manner provided by the first paragraph of Title 35, United States Code, §1 12, 1
acknowledge the duty to disclose all information I know to be material to patentability as defined in Title 37, Code
of Federal Regulations, § 1.56(a) which became available between the filing date of the prior application and the
national or PCT international filing date of this application:
U.S. SERIAL NO FILING DATE STATUS
l~l Pending □ Issued □ Abandoned
I hereby appoint the following attorneys and/or agents to prosecute this application and to transact all
3usiness in the Patent and Trademark Office connected therewith: Janis K. Fraser, Reg. No. 34,819; Ce lia H. Leber,
Reg. No. 33^24; John W. Freeman, Reg. N o. 29,066; Jo hn F. Hayden, Reg. No. 37,640; J. Peter Fasse, Reg. No.
32,983. ~- "
Revised: August 24. 1994 (391 DECL.MRG)
COMBINED DECLARATION AND POWER OF ATTORNEY CONTINUED
I hereby declare that all statements made herein of my own knowledge are true and that all statements made
on information and belief are believed to be true; and further that these statements were made with the knowledge
that willful false statements and the like so made are punishable by fine or imprisonment, or both, under Section
1001 of Title 18 of the United States Code and that such willful false statements may jeopardize the validity of the
application or any patents issued thereon.
Full Name of Inventor: Stephen Thorn
Inventor's Signature: Date: \% JozjO^
Residence Address: Loughborough, Leicestershire, United Kingdom
Citizen of: GB
Post Office Address: Bakewell Road, Loughborough, Leicestershire LEI 1 5RH, United Kingdom
Full Name of Inventor: Andrew Baxter
Inventor's Signature:
Residence Address:
Citizen of:
Post Office Address:
Date:
Loughborough, Leicestershire, United Kingdom
GB
Bakewell Road, Loughborough, Leicestershire LEI 1 5RH, United Kingdom
Date:
1*
07_
Full Name of Inventor: Nicholas jKmdor]
Inventor's Signature:
Residence Address: Loughbcfrough^Leicestershire, United Kingdom
Citizen of: GB
Post Office Address: Bakewell Road, Loughborough, Leicestershire LEI 1 5RH, United Kingdom
Revised: August 24. 1994 (391DECL-MRG)
COMBINED DECLARATION AND POWER OF ATTORNEY CONTINUED
Address all telephone calls to J arris K. Fraser. Esq. at telephone number 617/542_-5070.
Address all correspon dence to Janis K. Fraser, Esq. , Fish & Richardson P.C., 225 Franklin. Street, Boston,
MA 021 10-2804. —
Revised: August 24, 1994 (391DECL.MRG)
COMBINED DECLARATION AND POWER OF ATTORNEY CONTINUED
^Full Name of Inventor: TTiomas Mclnal^w^
Inventor's Signature: U^^Ac^Ka Date: l3\oi_\cKL
Residence Address: Loughborough, Le icestershire, Unite d Kingdom t^y^
Citizen of: GB
Post Office Address: Bakewell Road, Loughborough, Leicestershire LEI 1 5RH, United Kingdom
Full Name of Inventor:
Inventor's Signature:
^ ^Jrian ■Sprin ^orjje
Date:
Residence Address: Loughborough, Leicestershire, United Kingdom
Citizen of: GB
Post Office Address: Bakewell Road, Loughborough, Leicestershire LEI 1 5RH, United Kingd*
ingdo
Full Name of Inventor:
Inventor's Signature: .
Residence Address:
Citizen of:
Post Office Address:
Matthew Perry
^7 g Date: ^
Loughborough, Leicestershire, United Kingdom (^fl^^^
GB
Bakewell Road, Loughborough, Leicestershire LEI 1 5RH, United Kingdom
DavitLHarden /
Inventor's Signature:
Residence Address: Loughborough, Leicestershire, United Kingdom
Citizen of: GB
Post Office Address: Bakewell Road, Loughborough, Leicestershire LEI 1 5RH, United Kingdom
Revised: August 24. 1994 (391 DECL.MRG)
COMBINED DECLARATION AND POWER OF ATTORNEY CONTINUED
Richard fcvans
Date:
Full Name of Inventor: Richard Evans
Inventor's Signature: _ Date: v^vyo^
Residence Addre< Loughborough Leicestershire United Kingdom C^t^^i
Citizen of: GB
Post Office Address: Bakewell Road, Loughborough, Leicestershire LEI 1 5RH, United Kingdom
David Marriott *
X] £ Aj^*J«M Date: ^c\-y\oV
(9&Y
Full Name of Inventor: David Marriott
Inventor's Signature:
Residence Address: Loughborough, Leicesters hire, U nited Kingdom
Citizen of: GB
Post Office Address: Bakewell Road, Loughborough, Leicestershire LEI 1 5RH, United Kingdom
Revised: August 24. 1994 (391DECL.MRG)